Nursing
Assistants are a unique group of individuals who are dedicated to providing
patients with the best possible care. They work hard to make sure their basic
needs are met. They often go the extra mile to provide patients and their
families comfort. They are trained to work hard, multi-task, and assist Nurses
with any type of emergency that arises on any given day. However, their goal is
to help others feel better. Dealing with the harsh reality of dying and death
can be very difficult for Nursing Assistants to deal with, especially for those
new to the profession.
Dealing
with the issue of dying and death is relevant in any field of the medical
profession. It is even more common if you are working in a critical care of
elderly care facility. This issue should be taken into careful consideration
before a Nursing Assistant accepts a position in such a facility.
Since all
people view death differently, a Nursing Assistant will be exposed to many
things going on during this time, both with the patient and with their family
members. For those who are very religious, praying and possibly figures from
their Church will be present. Others are afraid to die, and fight for every
last breath trying to hold on. Respecting the wishes of the patient and the
family is very important during dying and death.
There are
those Nursing Assistants who are upset when they have to deal with dying and
death. They feel this is not what they signed up for. They want to help people.
However, Nursing Assistants can be a great source of comfort and compassion for
patients and their families during those precious last hours. Do all you can to
keep the patient comfortable. Often, their mouths become very dry. Even if they
don’t appear coherent, attempt to give them ongoing sips of water or ice chips.
The lips may begin to crack, apply Chap Stick or Vaseline to prevent soreness.
Caring for
dying patients requires you to remember details about them before they became
so ill. For example, if a patient asked to be turned often because of soreness,
continue to rotate how they are laying. Pay attention to their body temperature
and adjust bedding, air conditioning, and heating as needed. A person will
often become cold in the hours before death, so it is important to keep them as
comfortable as possible.
Some signs
of death Nursing Assistants should be familiar with include the loss of muscle
tone, the slowing of circulation, changes in breathing, and blurred vision. It
is important that the Nursing Assistant document such changes in the patient’s
chart and immediately notify the charge Nurse of the situation.
While a
patient is dying, the Nursing Assistant can help make the process easier for
the patient. Adequate pain medications should be administered as needed to
reduce the pain. Play the music the patient enjoys. Consider reading them a
favorite book or Bible passages. Sometimes they will need extra comfort
including someone to hold their hand. A Nursing Assistant can assume this role.
Often, Nursing Assistants can rely on each other to help make the situation
easier. Many employers also offer counseling services if you feel they are
necessary after dealing with dying and death of one of your patients. It is often easy to become
attached to patients you care for on a regular basis. Your employer is well
aware of this, and will want to help you feel better in your role as a Nursing
Assistant.
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